Organization Active NPI

Precise Neuro Management Service, Inc

  • Electroneurodiagnostic Specialist/Technologist
  • Simi Valley, CA
National Provider Identifier
1083074744
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
PRECISE NEURO MANAGEMENT SERVICE, INC
Practice address
2655 1St St Ste 250
Simi Valley, CA 93065-1574
Phone
(310) 908-5850
Fax
(303) 922-4640
NPI assigned
Feb 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juan Cantero, MD
Title
Ceo
Phone
(310) 908-5850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

2655 1St St Ste 250
Simi Valley, CA 93065-1574

Mailing address

2655 1St St Ste 250
Simi Valley, CA 93065-1574
Phone (310) 908-5850

National Provider Directory

National Provider Directory
Tax ID family
Precise Neuro Management Service Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1083074744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 1ST ST STE 250",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651574",
            "telephone_number": "310-908-5850",
            "fax_number": "303-922-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 1ST ST STE 250",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651574",
            "telephone_number": "310-908-5850",
            "fax_number": "303-922-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE NEURO MANAGEMENT SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "CANTERO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-908-5850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.